\u300e\u764c\u304c\u6cbb\u3063\u305f\u300f\u306e\u610f\u5473\u3068\u306f\u3002
\n\u7814\u7a76\u8005\u304c\u518d\u767a\u306b\u3064\u3044\u3066\u77e5\u308b\u306b\u3064\u308c\u3066\u3001\u9577\u671f\u751f\u5b58\u306e\u305f\u3081\u306e\u30b4\u30fc\u30eb\u30dd\u30b9\u30c8\u306f\u3088\u308a\u9060\u3044\u3082\u306e\u306b\u306a\u3063\u3066\u3044\u304f\u3002
\n******
\n16\u5e74\u524d\u3001\u5f7c\u5973\u306e42\u56de\u76ee\u306e\u8a95\u751f\u65e5\u306e\u76f4\u524d\u306b\u3001\u30b8\u30a7\u30fc\u30f3\u30fb\u30d9\u30fc\u30ab\u30fcSegelken\u306f\u3001\u4e73\u764c\u3068\u8a3a\u65ad\u3055\u308c\u305f\u3002\u816b\u760d\u306f\u5c0f\u3055\u304b\u3063\u305f\u3001\u305d\u3057\u3066\u3001\u5f7c\u5973\u306f\u764c\u304c\u6cbb\u7642\u306e\u5f8c\u30015\u5e74\u4ee5\u5185\u306b\u518d\u767a\u3057\u306a\u3044\u5834\u5408\u3001\u9577\u671f\u751f\u5b58\u306e\u305f\u3081\u306e\u5f7c\u5973\u306e\u53ef\u80fd\u6027\u304c\u826f\u597d\u3060\u308d\u3046\u3068\u8a71\u3055\u308c\u305f\u3002
\nSegelken\u304c5\u5e74\u3092\u904e\u3054\u3057\u305f\u5f8c\u3001\u5f7c\u5973\u306f7\u5e74\u306e\u30de\u30fc\u30af\u306b\u76ee\u3092\u5411\u3051\u308b\u3088\u3046\u306b\u52e7\u3081\u3089\u308c\u305f\u3001\u3057\u304b\u3057\u3001\u305d\u306e7\u5e74\u304c\u9054\u3055\u308c\u308b\u524d\u306b\u3001\u76ee\u6a19\u306f10\u5e74\u306b\u306a\u3063\u305f\u3002\u305d\u308c\u306f\u9577\u671f\u7814\u7a76\u306e\u8abf\u67fb\u7d50\u679c\u3092\u53cd\u6620\u3057\u305f\u3082\u306e\u3060\u3063\u305f\u3002
\n\u300c\u6700\u521d\u304b\u3089\u300d\u3001\u3068\u3001Segelken\u304c\u8a00\u3046\u3002\u300c\u79c1\u306f\u6cbb\u7652\u3057\u305f\u3068\u307f\u306a\u3055\u308c\u306a\u3044\u306e\u3060\u3068\u77e5\u3063\u3066\u3044\u307e\u3057\u305f\u3001\u305d\u3057\u3066\u3001\u79c1\u304c\u8a3a\u65ad\u5f8c15\u5e74\u307e\u305f\u306f20\u5e74\u306b\u518d\u767a\u3057\u305f\u5973\u6027\u3068\u77e5\u308a\u5408\u3046\u306b\u3064\u308c\u3066\u3001\u79c1\u306f\u79c1\u304c\u6700\u521d\u306e10\u5e74\u518d\u767a\u304c\u306a\u304b\u3063\u305f\u3068\u3057\u3066\u3082\u79c1\u306e\u6b8b\u308a\u306e\u4eba\u751f\u306b\u518d\u767a\u304c\u306a\u3044\u3068\u8003\u3048\u308b\u306e\u306f\u9593\u9055\u3044\u3060\u3068\u3042\u304d\u3089\u3081\u305f\u3002\u300d
\n\u3088\u3044\u77e5\u3089\u305b\u306fSegelken\u306b\u306f\u518d\u767a\u304c\u306a\u304b\u3063\u305f\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308b\u3001\u305d\u3057\u3066\u3001\u7814\u7a76\u306f\u300c\u3042\u306a\u305f\u304c\u3088\u308a\u9577\u304f\u884c\u304f\u307b\u3069\u3001\u3088\u308a\u518d\u767a\u306f\u306a\u3044\u3060\u308d\u3046\u300d \u2015 Mehra Golshan\u304c\u8a00\u3046\uff08 \u30c7\u30fc\u30ca-\u30d5\u30a1\u30fc\u30d0\u30fc\/\u30d6\u30ea\u30ac\u30e0\u3068Women\u306eBreast Cancer Surgical Services\u306e\u8cac\u4efb\u8005\u3001\u30dc\u30b9\u30c8\u30f3\u306e\u764c\u30bb\u30f3\u30bf\u30fc\uff09
\n\u5927\u591a\u6570\u306e\u4e73\u764c\u306e\u305f\u3081\u306b \u2015 Golshan\u304c\u3001\u8a00\u3046 \u2015 \u518d\u767a\u306e\u53ef\u80fd\u6027\u306f\u3001\u6700\u521d\u306e5\u5e74\u3067\u6700\u5927\u3067\u3042\u308b\u3002
\n\u30b8\u30e7\u30bb\u30d5Sparano\u3001\u30cb\u30e5\u30fc\u30e8\u30fc\u30af\u306e\u30e2\u30f3\u30c6\u30d5\u30a3\u30aa\u30fc\u30ea\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u306eMedicine\u90e8\u306e\u4f1a\u9577\u3001\u306f\u8ff0\u3079\u3066\u3044\u308b
\n\u300c\u7279\u306b\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u967d\u6027\u306e\u4e73\u764c\u306f10\u5e74\u304b\u305d\u308c\u4ee5\u4e0a\u306e\u5f8c\u306b\u518d\u767a\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u3048\u308b\u304c\u3001\u4e00\u65b9\u3067\u3042\u308b\u7a2e\u306e\u4e73\u764c\uff08\u4f8b\u3048\u3070\uff13\u500d\u9670\u6027\u306e\u4e73\u764c\uff09\u306f\u901a\u5e385\u5e74\u4ee5\u5185\u306b\u7e70\u308a\u8fd4\u3055\u308c\u308b\u3002\u300d
\n\u305d\u3057\u3066\u3001\u305d\u3046\u3044\u3046\u308f\u3051\u3067\u3001\u3088\u308a\u9577\u671f\u306e\u8ffd\u8de1\u8abf\u67fb\u306f\u91cd\u8981\u3067\u3042\u308b\u3002
\n\u300c\u6709\u610f\u306b\u518d\u767a\u306e\u30ea\u30b9\u30af\u3092\u4f4e\u4e0b\u3055\u305b\u308b\u306e\u3067\u3001\u88dc\u52a9\u5316\u5b66\u7642\u6cd5\u3068\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u306f\u624b\u8853\u306e\u5f8c\u306e\u6a19\u6e96\u6cbb\u7642\u3067\u3042\u308b\u300d\u3068\u3001Sparano\u304c\u8a00\u3046\u3002\u60a3\u8005\u306b\u30a2\u30b8\u30e5\u30d0\u30f3\u30c8\u7642\u6cd5\u3092\u53d7\u3051\u308b\u6f5c\u5728\u7684\u5371\u967a\u306b\u3064\u3044\u3066\u52a9\u8a00\u3059\u308b\u3068\u304d\u3001\u5f7c\u306f\u4e00\u822c\u306b10\u5e74\u306e\u30d5\u30ec\u30fc\u30e0\u30ef\u30fc\u30af\u3092\u4f7f\u7528\u3059\u308b\u3002
\nCancer Cooperative Groups\uff08\u305d\u308c\u306f\u56fd\u7acb\u764c\u7814\u7a76\u6240\u304c\u5f8c\u63f4\u3059\u308b\u81e8\u5e8a\u8a66\u9a13\u306e\u305f\u3081\u306b\u4e00\u7dd2\u306b\u50cd\u3044\u3066\u3044\u308b\u7814\u7a76\u8005\u3001\u764c\u30bb\u30f3\u30bf\u30fc\u3068\u533b\u5e2b\u3092\u542b\u3080\uff09\u306e\u7814\u7a76\u306e\u305f\u3081\u306b\u3001\u60a3\u8005\u306f\u901a\u5e38\u8a3a\u65ad\u5f8c\u306b15\u5e74\u306e\u9593\u7d4c\u904e\u89b3\u5bdf\u3055\u308c\u308b\u3002\u300c\u60a3\u8005\u304c\u9577\u671f\u9593\u306e\u9593\u306b\u3069\u3046\u306a\u3063\u305f\u304b\u3068\u3044\u3046\u6700\u65b0\u306e\u5831\u544a\u304c\u300110\u5e74\u4ee5\u4e0a\u305f\u3064\u3068\u3057\u3070\u3057\u3070\u767a\u8868\u3055\u308c\u308b\u300d\u3068\u3001\u30b8\u30a7\u30cb\u30d5\u30a1\u30fcLigibel\u535a\u58eb\uff08\u30c7\u30fc\u30ca-\u30d5\u30a1\u30fc\u30d0\u30fcCancer\u7814\u7a76\u6240\u306e\u816b\u760d\u5b66\u8005\uff09\u304c\u8a00\u3046\u3002\u3057\u304b\u3057\u306a\u304c\u3089\u3001\u305d\u306e\u9803\u307e\u3067\u306b\u306f\u3001\u4eba\u306f\u79fb\u52d5\u3057\u305f\u308a\u3059\u308b\u3001\u305d\u3057\u3066\u3001\u4e00\u90e8\u306e\u751f\u5b58\u8005\u306f\u7814\u7a76\u8005\u3082\u3082\u306f\u3084\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u3067\u304d\u306a\u3044\u3002
\n\u30ad\u30e3\u30b5\u30ea\u30f3\u30fb\u30a2\u30eb\u30d5\u30a1\u30fc\u30ce\u535a\u58eb\uff08\u56fd\u7acb\u764c\u7814\u7a76\u6240\u306eCancer Survivorship\u306e\u5c40\u306e\u90e8\u6b21\u9577\uff09\u306f\u3001\u4eca\u65e5\u4e73\u764c\u3068\u8a3a\u65ad\u3055\u308c\u308b\u5973\u6027\u306e\u3046\u3061\u300190\u30d1\u30fc\u30bb\u30f3\u30c8\u306f\uff15\u5e74\u5f8c\u306b\u3082\u751f\u304d\u3066\u3044\u308b\u30021960\u5e74\u4ee3\u306b\u305d\u308c\u306f63\u30d1\u30fc\u30bb\u30f3\u30c8\u3067\u3042\u3063\u305f\u3002\u300c\u79c1\u306f\u3001\u73fe\u5728\u975e\u5e38\u306b\u3088\u308a\u826f\u597d\u306a\u751f\u5b58\u7387\u306b\u3064\u3044\u3066\u306e\u8981\u70b9\u306f\u3053\u308c\u307e\u3067\u3088\u308a\u591a\u304f\u306e\u4eba\u3005\u304c\u8a3a\u65ad\u3068\u6cbb\u7642\u306e\u5f8c\u3001\u9577\u5e74\u306e\u9593\u764c\u306e\u5f71\u97ff\u306b\u8010\u3048\u3066\u3044\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308b\u3068\u601d\u3046\u300d\u3001\u3068\u3001\u5f7c\u5973\u304c\u8a00\u3046\u3002\u300c\u305d\u3057\u3066\u305d\u308c\u306f\u533b\u5e2b\u3068\u7814\u7a76\u8005\u304c\u6ce8\u610f\u3092\u6255\u3046\u3079\u304d\u51fa\u308b\u3053\u3068\u3092\u610f\u5473\u3057\u3066\u3044\u308b\u3002\u751f\u5b58\u8005\u306b\u4e0e\u3048\u308b\u764c\u306e\u9577\u671f\u306e\u5f71\u97ff\u304c\u4f55\u3067\u3042\u308b\u304b\u3001\u305d\u3057\u3066\u3001\u3069\u306e\u3088\u3046\u306b\u305d\u308c\u3089\u3092\u4e88\u9632\u3059\u308b\u3079\u304d\u3067\u3042\u308b\u304b\u3001\u6700\u5c0f\u5316\u3059\u308b\u3079\u304d\u304b\u7406\u89e3\u3059\u308b\u306e\u3092\u624b\u52a9\u3051\u3059\u308b\u3053\u3068\u3067\u3042\u308b\u3002\u300d
\n\u764c\u751f\u5b58\u8005\u306e\u518d\u767a\u30ea\u30b9\u30af\u304c\u5b8c\u5168\u306b\u6d88\u3048\u53bb\u308b\u3088\u3046\u306a\u751f\u5b58\u5e74\u6570\u306e\u30de\u30b8\u30c3\u30af\u30fb\u30ca\u30f3\u30d0\u30fc\u306f\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u306b\u5c02\u9580\u5bb6\u306f\u540c\u610f\u3057\u3066\u3044\u307e\u3059\u3002\u300c\u6211\u3005\u304c\u77e5\u3063\u3066\u3044\u308b\u3053\u3068\u306f\u300d\u3068\u3001Ligibel\u306f\u8a00\u3044\u307e\u3059\u3002\u300c\u8089\u4f53\u7684\u6d3b\u52d5\u6027\u306e\u9ad8\u3055\u3068\u6cbb\u7642\u5f8c\uff15\u5e74\u5f8c\u306e\u4f53\u91cd\u304c\u3069\u308c\u304f\u3089\u3044\u3042\u308b\u304b\u3001\u3068\u3044\u3046\u3053\u3068\u304c\uff11\uff10\u6839\u5f8c\u306e\u518d\u767a\u30ea\u30b9\u30af\u306b\u95a2\u9023\u3057\u3066\u3044\u307e\u3059\u3002\u80a5\u6e80\u3067\u3042\u308b\u3053\u3068\u306f\u60aa\u3044\u78ba\u7387\u306b\u306a\u308a\u307e\u3059\u3002
\nLigibel\u3082\u3001\u4e73\u764c\u3092\u5448\u3059\u308b80\u30d1\u30fc\u30bb\u30f3\u30c8\u4ee5\u4e0a\u306e\u5973\u6027\u304c\u518d\u767a\u3092\u7d4c\u9a13\u3057\u306a\u3044\u304b\u3001\u75be\u60a3\u3067\u6b7b\u4ea1\u3057\u306a\u3044\u3068\u5f37\u8abf\u3059\u308b\u3002\u300c\u4e73\u764c\u3068\u8a3a\u65ad\u3055\u308c\u308b\u5973\u6027\u306f\u300d\u3068\u3001\u5f7c\u5973\u304c\u8a00\u3046\u3001\u300c\u5927\u90e8\u5206\u306e\u4ed6\u306e\u764c\u306e\u5973\u6027\u3088\u308a\u3082\u3001\u4e73\u304c\u3093\u306b\u518d\u3073\u7f79\u308b\u78ba\u7387\u306f\u5c11\u306a\u3044\u3068\u3044\u3048\u307e\u3059\u3002\u300d
\n\u751f\u547d\u4fdd\u967a\u9069\u6b63
\n\u500b\u4eba\u7684\u306a\u4fdd\u967a\u304c\u30ab\u30d0\u30fc\u3059\u308b\u7bc4\u56f2\u306e\u9069\u683c\u6027\u306f\u4e3b\u306b\u3042\u306a\u305f\u304c\u3069\u306e\u3088\u3046\u306a\u72b6\u614b\u306b\u3088\u3063\u3066\u751f\u6d3b\u3059\u308b\u304b\u3001\u305d\u3057\u3066\u3001\u5065\u5eb7\u72b6\u614b\u306b\u95a2\u3059\u308b\u3082\u3068\u3082\u3068\u6301\u3063\u3066\u3044\u308b\u751f\u6d3b\u65b9\u91dd\u3001\u7fd2\u6163\u306b\u3088\u3063\u3066\u6c7a\u3081\u3089\u308c\u308b\u3002\u5dde\u5225\u306e\u60c5\u5831\u306f\u3001healthcare.gov.\u3067\u898b\u3064\u304b\u308b\u3053\u3068\u304c\u3067\u304d\u308b
\n2014\u5e741\u6708\u304b\u3089\u59cb\u307e\u3063\u3066\u3001\u65e2\u5b58\u306e\u72b6\u6cc1\u306b\u95a2\u4fc2\u306a\u304f\u3001\u3059\u3079\u3066\u306e\u4e73\u764c\u751f\u5b58\u8005\uff08\u30a2\u30e1\u30ea\u30ab\u306e\u8ab0\u3067\u3082\u540c\u69d8\u306b\uff09\u306f\u4fdd\u967a\u306e\u30ab\u30d0\u30fc\u3092\u53d7\u3051\u3089\u308c\u308b\u3002
\n\u751f\u547d\u4fdd\u967a\u306b\u95a2\u3057\u3066\u306f\u3001\u6211\u3005\u304c\u30d7\u30eb\u30c7\u30f3\u30b7\u30e3\u30eb\u751f\u547d\u3001\u30b8\u30e7\u30f3\u30fb\u30cf\u30f3\u30b3\u30c3\u30af\u751f\u547d\u3068\u30ea\u30f3\u30ab\u30fc\u30f3\u751f\u547d\u306e\u4ee3\u7406\u4eba\u306b\u5411\u304b\u3063\u3066\u8a71\u3057\u305f\u3068\u3053\u308d\u3001\u6211\u3005\u304c\u9762\u8ac7\u3057\u305f\u4ed6\u306e\u4e3b\u8981\u306a\u4fdd\u967a\u696d\u8005\u306e\u4ee3\u7406\u4eba\u3088\u308a\u3082\u3001\u4e73\u764c\u751f\u5b58\u8005\u306e\u305f\u3081\u306b\u300c\u65b9\u91dd\u300d\u3092\u66f8\u304f\u6c17\u304c\u3042\u3063\u305f\u3002\u3053\u308c\u3089\u306e3\u793e\u306f\u3001\u300c\u5883\u754c\u4f8b\u300d\u3092\u8003\u616e\u3057\u3066\u3001\u7279\u306b\u305d\u306e\u5e74\u306e\u7d42\u308f\u308a\u9803\u306b\u3001\u7523\u751f\u76ee\u7684\u306b\u5bfe\u51e6\u3059\u308b\u305f\u3081\u306b\u4fdd\u967a\u6599\u91d1\u3092\u4e0b\u3052\u308b\u6c17\u304c\u3042\u3063\u305f\u3002
\n\u30e1\u30c3\u30c8\u751f\u547d\u306f\u3001\u4e73\u764c\u306b\u5bfe\u3057\u3066\u624b\u8853\u304a\u3088\u3073\uff0f\u307e\u305f\u306f\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u5b8c\u4e86\u3059\u308b\u3068\u3059\u3050\u306b\u3001\u6a19\u6e96\u7a0e\u7387\u3067\u4fdd\u967a\u3092\u63d0\u4f9b\u3055\u308c\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3068\u8a00\u3046\u3002\u30b9\u30c6\u30fc\u30b8\uff11\u306e\u764c\u306b\u95a2\u3057\u3066\u3082\u5316\u5b66\u7642\u6cd5\u306e\u624b\u8853\u3001\u653e\u5c04\u7dda\u6cbb\u7642\u3068\u3059\u3079\u3066\u306e\u6cbb\u7642\u304c\u7d42\u4e86\u3057\u305f\u6297\u304c\u3093\u5264\u306e\u5f8c\u3067\u3082\u540c\u69d8\u3067\u3042\u308b\u3002<\/p>\n
The meaning of \u2018cancer-free\u2019
\nAs researchers learn more about recurrence, the goal posts for long-term survival keep moving further out<\/p>\n
Is there such a thing as being cancer free for life? (Marser photo via Getty Images)
\nSixteen years ago, right before her 42nd birthday, Jane Baker Segelken was diagnosed with breast cancer. The tumor was small, and she was told that if the cancer didn\u2019t return within five years after treatment, her chances for long-term survival were good.
\nWhen Segelken made it to five years, she was advised to look to the seven-year mark, but before that seven years was reached, the target became 10 years, reflecting newer findings of longer-term studies.
\n\u201cFrom the beginning,\u201d says Segelken, \u201cI knew I\u2019d never be considered cured, and as I began to meet women who had recurrences at 15 or 20 years after diagnosis, I gave up the idea that if I had no recurrences in the first 10 years, I\u2019d be cancer-free for the rest of my life.\u201d
\nThe good news is Segelken hasn\u2019t had a recurrence, and research shows that \u201cthe longer you go, the less likely it is to come back,\u201d says Mehra Golshan, director of Breast Cancer Surgical Services at Dana-Farber\/Brigham and Women\u2019s Cancer Center in Boston.
\nFor the majority of breast cancers, Golshan says, chances of recurrence are greatest in the first five years.
\nJoseph Sparano, associate chairman of the Department of Medicine at Montefiore Medical Center in New York, concurs, adding that \u201csome types of breast cancers, such as triple-negative breast cancer, usually recur within five years, while other types, particularly estrogen-positive cancers, can recur after 10 years or longer.\u201d
\nAnd that\u2019s why longer-term follow-up is important. \u201cAdjuvant chemotherapy and hormonal therapy are after-surgery standard treatments, because they significantly reduce the risk of recurrence,\u201d says Sparano. He commonly uses the 10-year framework when advising patients about the potential risks of undergoing adjuvant therapy.
\nFor studies run by Cancer Cooperative Groups, which include researchers, cancer centers, and physicians working together to run clinical trials sponsored by the National Cancer Institute, patients are usually followed for 15 years after diagnosis. \u201cUpdated reports on how patients did over time are often published at 10 or more years,\u201d says Dr. Jennifer Ligibel, an oncologist at Dana-Farber Cancer Institute. However, by that time, life moves along, and some survivors no longer follow up with researchers.
\nDr. Catherine Alfano, deputy director of the Office of Cancer Survivorship at the National Cancer Institute, says that of the women diagnosed with breast cancer today, 90 percent will be alive in five years compared with 63 percent in the 1960s. \u201cI think the main point about survival rates being much better now is that more people than ever are living with the effects of cancer for many years after their diagnosis and treatment,\u201d she says, \u201cwhich means that doctors and researchers are turning attention to helping survivors understand what the long-term effects of cancer might be, and how to prevent or minimize those.\u201d
\nExperts agree that there is no magic number of years for a survivor\u2019s risk of recurrence to disappear completely. \u201cWhat we do know,\u201d says Ligibel, \u201cis that the amount of physical activity one is doing and how much one weighs at five years (after treatment) is related to the risk of recurrence in 10 years.\u201d Overweight and obese survivors face worse odds.
\nLigibel also stresses that more than 80 percent of women who develop breast cancer will not experience a recurrence or die of the disease. \u201cA woman diagnosed with breast cancer,\u201d she says, \u201chas much better odds that she will never hear from her disease again than women with most other common cancers.\u201d
\nInsurance eligibility
\nEligibility for private health insurance coverage is now largely determined by which state you live in and its policies on pre-existing conditions. State-by-state information can be found at healthcare.gov.
\nBeginning in January 2014, all breast cancer survivors, as well as everyone in the U.S., will have access to coverage regardless of pre-existing conditions.
\nWhen it comes to life insurance, agents we spoke with at Prudential, John Hancock and Lincoln were more willing to write policies for breast cancer survivors than agents for other major insurers we interviewed. These three companies were willing to consider \u201cborderline cases\u201d and lower premiums to meet production goals, especially toward the end of the year, according to the agents.
\nMetLife says that for in situ breast cancer, women can be offered insurance at standard rates as soon as they have completed surgery and\/or radiation treatments. The same is often true of Stage 1 cancer when surgery, radiation treatments and all cycles of chemotherapy have been completed.<\/p>\n","protected":false},"excerpt":{"rendered":"
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